Individual
MADISON MARIE ROBERTS-HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1113 E WESTVIEW CT, SPOKANE, WA 99218-1319
(208) 263-9757
(208) 965-8128
Mailing address
1327 W SUPERIOR ST STE 101, SANDPOINT, ID 83864-2742
(208) 263-9757
(208) 965-8128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61222036
WA
Other
Enumeration date
08/24/2020
Last updated
11/24/2021
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